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Oxidative stress and ferroptosis in diabetic cardiomyopathy: mechanistic interplay and therapeutic implications
Shan Li1, Yuhe Shu1, Shuyu Yang1
1The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, 182 Chunhui Road, Longmatan District, Luzhou, 646000, China.
Insights
Diabetic cardiomyopathy (DCM) involves oxidative stress and ferroptosis, damaging heart cells. Understanding their interaction offers new therapeutic strategies for this diabetes complication.
Area of Science:
- Cardiovascular Research
- Metabolic Disorders
- Cellular Pathology
Background:
- Diabetic cardiomyopathy (DCM) is a serious heart complication of diabetes mellitus.
- Pathological changes include hypertrophy, necrosis, fibrosis, and heart failure.
- Underlying mechanisms are not fully understood, hindering effective treatments.
Purpose of the Study:
- To review the interaction between oxidative stress and ferroptosis in DCM.
- To explore their molecular mechanisms and relationship in disease progression.
- To propose potential therapeutic strategies targeting these pathways.
Main Methods:
- Literature review of recent research on oxidative stress and ferroptosis in DCM.
- Analysis of molecular mechanisms linking these processes to diabetic cardiomyocyte injury.
- Synthesis of current understanding to inform therapeutic development.
Main Results:
- Oxidative stress, characterized by excessive reactive oxygen species (ROS), damages cardiomyocytes and mitochondria.
- Ferroptosis, an iron-dependent cell death, contributes to diabetic cardiomyocyte injury and death.
- These processes are intricately linked in the pathogenesis of DCM.
Conclusions:
- Oxidative stress and ferroptosis play critical roles in DCM development and progression.
- Targeting the interplay between oxidative stress and ferroptosis presents a promising therapeutic avenue.
- Further research is needed to translate these mechanistic insights into clinical practice for DCM prevention and treatment.
Abstract:
Diabetic cardiomyopathy (DCM) is a severe cardiovascular complication of diabetes mellitus, characterized by pathological changes such as cardiomyocyte hypertrophy, necrosis, and myocardial fibrosis, which can ultimately lead to heart failure. However, its underlying mechanisms remain incompletely understood, limiting the development of effective therapeutic approaches. In recent years, the critical roles of oxidative stress and ferroptosis in the pathogenesis of DCM have attracted increasing attention. Oxidative stress is a state where the imbalance between oxidative and antioxidant systems results in excessive production of reactive oxygen species (ROS), thereby damaging key cellular structures such as cardiomyocyte membranes and mitochondria, and promoting the occurrence and development of DCM. Ferroptosis is an iron-dependent form of regulated cell death, which has been confirmed to be involved in the injury and death of diabetic cardiomyocytes.This article reviews the interaction between oxidative stress and ferroptosis in DCM as well as their molecular mechanisms, explores their complex relationship in the occurrence and progression of the disease, and proposes potential therapeutic strategies based on this mechanistic framework. It aims to provide researchers and clinicians with a comprehensive and up-to-date reference to collectively advance the prevention and treatment of DCM.
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